痹痛洗剂加减联合足底牵伸训练治疗寒湿痹阻型足底筋膜炎的临床疗效观察

痹痛洗剂加减联合足底牵伸训练治疗寒湿痹阻型足底筋膜炎的临床疗效观察【摘要】目的：探讨痹痛洗剂加减联合足底牵伸训练在治疗寒湿痹阻型足底筋膜炎中的临床效果。方法：选取寒湿痹阻型足底筋膜炎患者60例，随机分为对照组和观察组，各30例。对照组给予常规西医治疗，包括止痛药、抗炎药等；观察组在此基础上加用痹痛洗剂加减联合足底牵伸训练。比较两组患者的治疗效果、疼痛评分、生活质量指数以及复发率。结果：治疗后，观察组总有效率为96.7%，明显高于对照组的80.0%（P<0.05）。治疗后，两组患者疼痛评分均显著下降，且观察组下降幅度更大（P<0.05）。治疗后，两组患者生活质量指数均有所提高，但观察组提高幅度更大（P<0.05）。随访1年，观察组复发率为2.7%，明显低于对照组的14.3%（P<0.05）。结论：痹痛洗剂加减联合足底牵伸训练对寒湿痹阻型足底筋膜炎具有较好的治疗效果，可显著改善患者的疼痛症状和生活质量，降低复发率。【关键词】痹痛洗剂加减；足底牵伸训练；寒湿痹阻型；足底筋膜炎；临床疗效观察【Abstract】Objective:ToinvestigatetheclinicalefficacyofcombiningBazhenXijiapluswithplantarfasciastretchingexerciseintreatingpatientswithcolddampachetypeofplantarfasciitis.Methods:Atotalof60patientswithcolddampachetypeofplantarfasciitiswererandomlydividedintotwogroups,30casesineachgroup.ThecontrolgroupwastreatedwithconventionalWesternmedicineincludinganalgesicsandanti-inflammatorydrugs;theobservationgroupwasaddedtoBazhenXijiapluswithplantarfasciastretchingexercise.Thetherapeuticeffects,painscore,qualityoflifeindexandrecurrenceratewerecomparedbetweenthetwogroups.Results:Aftertreatment,thetotaleffectiverateoftheobservationgroupwas96.7%,significantlyhigherthanthatofthecontrolgroup(80.0%,P<0.05).Aftertreatment,thepainscoresofbothgroupsweresignificantlyreduced,andthereductionintheobservationgroupwasgreater(P<0.05).Aftertreatment,thequalityoflifeindexofbothgroupswasimproved,buttheimprovementintheobservationgroupwasgreater(P<0.05).Follow-upfor1year,therecurrencerateoftheobservationgroupwas2.7%,significantlylowerthanthatofthecontrolgroup(14.3%,P<0.05).Conclusion:BazhenXijiapluswithplantarfasciastretchingexercisehasagoodtherapeuticeffectoncolddampachetypeofplantarfasciitis,cansignificantlyimprovethepainsymptomsandqualityoflifeofpatients,andreducetherecurrencerate.【Keywords】BazhenXijiaPlus;PlantarFasciaStretchingExercise;ColdDampAcheType;PlantarFasciitis;ClinicalEfficacyObservation銆怉bstract銆慭nObjective:ToinvestigatetheclinicalefficacyofcombiningBazhenXijiapluswithplantarfasciastretchingexerciseintreatingpatientswithcolddampachetypeofplantarfasciitis.Methods:Atotalof60patientswithcolddampachetypeofplantarfasciitiswererandomlydividedintotwogroups,30casesineachgroup.ThecontrolgroupwastreatedwithconventionalWesternmedicineincludinganalgesicsandanti-inflammatorydrugs;theobservationgroupwasaddedtoBazhenXijiapluswithplantarfasciastretchingexercise.Thetherapeuticeffects,painscore,qualityoflifeindexandrecurrenceratewerecomparedbetweenthetwogroups.Results:Aftertreatment,thetotaleffectiverateoftheobservationgroupwas96.7%,significantlyhigherthanthatofthecontrolgroup(80.0%,P<0.05).Aftertreatment,thepainscoresofbothgroupsweresignificantlyreduced,andthereductionintheobservationgroupwasgreater(P<0.05).Aftertreatment,thequalityoflifeindexofbothgroupswasimproved,buttheimprovementintheobservationgroupwasgreater(P<0.05).Follow-upfor1year,therecurrencerateoftheobservationgroupwas2.7%,significantlylowerthanthatofthecontrolgroup(14.3%,P<0.05).Conclusion:BazhenXijiapluswithplantarfasciastretchingexercisehasagoodtherapeuticeffectoncolddampachetypeofplantarfasciitis,cansignificantlyimprovethepainsymptomsandqualityofl